Inflammatory Myofibroblastic Tumour of an Unusual Presentation in the Uterine Cervix: A Case Report

Abstract Background: Inflammatory myofibroblastic tumour is an infrequent mesenchymal neoplasia of unknown etiology and variable behavior, ranging from rather benign lesions to locally aggressive and even metastatic disease. Its presence has been described in almost all organs; however, its location in the female genital tract has rarely been reported.Case presentation: We present the case of a 47-year-old female, who was studied in our institution for a recent medical history of several weeks of dyspareunia and abdominal pain. She underwent pertinent studies including ultrasonography and CT scan. Under suspicion of degenerated leiomyoma, a total hysterectomy was performed. Unexpectedly, the pathological study of the surgical specimen showed an inflammatory myofibroblastic tumour of the cervix. Conclusions: Inflammatory myofibroblastic tumour remains a rare entity yet to be fully elucidated. The diagnosis is based on pathological study due to the lack of typical clinical manifestations and typical radiological images. Surgical resection is the most frequent treatment, whereas chemotherapy and radiotherapy are restricted to locally advanced or metastatic disease. Tirosine kinase inhibitor Crizotinib has shown promising results specially in tumours harbouring ALK mutation.